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BOARD OF DIRECTORS, 
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BOWARDS, BROUGHTON & GO, BOOK & JOB PRINTERS AND BOOK BINDERS, 
Se 1874, : ee 


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SPECIAL REPORT. 


To the Board of Directors 
of the Insane Asylumof North Carolina : 


GentLemEeN: The embarrassments surrounding the man- 
agement of the Asylum, present, past and prospective, increased 
by the extraordinary course of the present General Assembly, 
render it necessary to ask the advice and counsel of the 
Board. 

Owing to the insufficiency of the annual appropriation for 
1872 (it being the smallest hitherto ever made, in the history 
of the Institution) the year 1873 commenced with an indebted- 
ness of about seven thousand dollars upon the support of the 
previous year. 

To more fully state the facts in this case, I beg to say that: 
an examination of the expenses of the Institution for the lapse: 
_of time since the close of the war, shows that the expenditure: 
per capita has been as follows: In 1866, it was $283.66; in 
1867, (in the absence of any printed report) the amount asked. 
for was $250.00 for support, and an appropriation for fuel and: 
repairs of $5,000; in 1868, it was $271.70 ; in 1869, by reason: 
of the extension of the fiscal year from September 30 to De- 
cember 31, it was $312.50 per capita for the period of 15. 
months, and $10.000 for repairs, ordinary and extraordinary. 
In 1870, it was $300 per capita, and $12,000 for the purchase 
of machinery and extraordinary repairs, of which, however, 
between $8,000 and $9,000 was left unexpended at the close: 
of the year, and this balance, with the ordinary appropriation. 
for support for the year 1871, made the cost per capita for that: 
year $303.73. In this, however, was included the cost of an. 
extraordinary amount of improvements and repairs. For the 
year 1872, the appropriation for all purposes was $60.000, or 
nearly $5,000 less than the simple appropriation for support in 


4 


1871, apart from the use of the balance of $8,000 or $9,000 
left from the appropriation of the preceding year. 

On the basis of the unusually small appropriation for 1872, 
of $60,000, it became apparent that the amount per capita 
would be reduced to $244.90. This was known to be insufii- 
cient, even without regarding an important source of addition- 
al expense, which had arisen in the meantime, through the 
operation of the policy under the provisions of Sec. 19, chap. 
67, Acts of the General Assembly 1868-69, of giving the 
preference in admission to the acute and curable, or the ex- 
cessively violent, among the applicants, and providing accom- 
modations for as many of this class as would fill vacancies 
created by sending away from the Institution an equal number 
‘of harmless incurables. The effect of this policy, however 
valuable in a humanitarian point of view, was to involve ad- 
‘ditional expense through the operation of the transfers, the 
necessity of more attendance upon the large proportion of 
violent cases accumulating, as well as additional cost of labor 
‘from the loss of the services of harmless and incurable patients, 
who, for sanitary and other reasons, had been contributing 
their aid in various classes of work; necessarily its effect was 
cumulative yearly. 

The apprehended deficiency was laid before the Board of 
Directors then in charge on the 6th February, 1872, together 
with the statistics of expense of various Institutions for the In- 
sane throughout the United States, the average cost of which 
was $331.00 per capita. And upon the consideration of the 
attempt to confine the expenses to the $244.90 per capita in- 
dicated by the appropriation, involving the abandonment of 
many remedial influences, and the practical conversion of the 
Institution, with all its opportunities for active good into a 
simple custodial establishment, on motion Mr, Kemp P. Battle, 
it was unanimously resolved: 


“ That the policy heretofore adopted by the Board for mak- 
ing, in as economical a manner as practicable, the Asylum a 
curative hospital, as: contradistinguished from a mere. custo- 


3) 


dian institution, be adhered to, the Board having confidence 
that, if any deficiency in the appropriation recently made by 
the General Assembly shall be found to exist at the end of 
the present fiscal year, such deficiency will be supplied by the 
liberality and justice of the Legislature.” 


The expense per capita for 1872 was $2738.46. The build- 
ings and premises having been in use eighteen years, there 
was of necessity a much larger and constantly increasing 
amount of repairs from wear and tear and dilapidation every 
year than when they were new. After detailing the items re- 
quiring attention, the Superintendent made the following 
recommendation : 


“ With a calculation based upon the utmost economy com- 
patible with a suecessfnl management of the Asylum as a cu- 
rative institution, | recommend an annual appropriation of 
605,000 for support, and $5,000 for improvements and re- 
pairs.” : 


The appropriation of $70,000 for 1873 was made, and would 
have met the requirements of the Institution as above stated, 
but that no appropriation or provision had been made for the 
payment of the debt, amounting to about $7,000, incurred du- 
ring 1872 from the very limited appropriation of $60,000. 

This indebtedness, accompanied by extraordinary repairs 
absolutely necessary, as the damage to the roof of the building 
by the storm of April last, requiring a thousand dollars im- 
mediate expenditure, to save the structure from certain decay 
and ruin, the replacing of the steam pump at Rocky Branch, 
worn out by long use and leaving usin imminent danger of 
the failure of a water supply, and other items stated in my re- 
port caused the exhaustion of the appropriation for the year 
1873, by the 1st of December. No particular embarrassment 
was anticipated, as the Legislature assembled on the third 
Monday of November, and the usual custom had been to pass 
the appropriation bill for the ensuing year before the custom- 
ary adjournment for the Christmas holidays. 


6 


The Joint Standing Committee, consisting of Messrs. John’ 
W. Ellis, W. J. T. Miller and Edward Ransom, of the Sen- 
ate, and Messrs. F. N. Luckey, J. Shaw, A. B. Johns, C. L. 
Turner and John C. Gorman, of the House, were notified of 
our condition, and urged to the early consideration of our 
wants and necessities. 

After an unusual delay, the Committee assembled and made 
an examination of the Institution and a portion of the books 
and accounts on the 4th day of December. Nothing further 
was heard of their action, before the adjournment of the Gen- 
eral Assembly on the 24th December, to meet again January 
12th. 

In the meantime, the close of the year and the Christmas 
holidays found us not only without funds to buy supplies and 
means to pay off a single employee for the last month or so, of 
time, but $5,000 or $6,000 in debt. 

On the 24th November, the Executive Conmmines of the 
Board passed the following, in view of approaching necessity : 


Resolved, That the Treasurer of the Insane Asylum be an- 
thorized and empowered to make arrangements with the 
Banks of the City of Raleigh, for the advancement of money 
for the Asylum, not to exceed two thousand dollars, and the 
Superintendent be authorized to draw his warrant, and the 
Treasurer shall pay the same, for such amounts as may be 
advanced, and such interest as the Banks may charge, not to 
exceed one per cent. per month. 

fesolved, That such sum as the Treasurer may obtain from 
the Banks shall only be paid out for such articies as the Asy- 
lum is necessarily compelled to have, and for which the cash 
must be paid on delivery. 


My anxiety for an appropriation within reasonable time was 
to stop the payment of interest as early as possible, and to en- 
able our Steward to purchase at cash prices, and to save to the 
State the additional per cent. charged, it is presumed, by all 
tradesmen upon credit sales. 


fs 

In the month of January, the report herewith submitted as 
the paper marked “A” was made to the General Assembly by 
the Joint Standing Committee. A slight examination thereof 
reveals numerous inaccuracies and grave errors. The report 
states that the books of the Treasurer were “ carefully exam- 
ined ” to ascertain expenditures and cost of provisions, &c., by 
“the industry and careful examination ” of ‘Senator Ransom 
and Representative Turner.” To these two members was en- 
trusted the task of ascertaining the actual figures on the books, 
and their method of procedure failed to arrive at the truth, 
and inflicted great wrong upon the management of the Insti- 
tution. It was in substance, the division of the gross amount 
expended for each item of provisions, &c., by such number of 
pounds, gallons, &c., as by a casual survey of the books they 
might discover, but which falling largely under the true quan- 
tity which the books show, (sustained by the vouchers through- 
out,) left the apparent cost of each article much too high for 
the truth, to the damage of the Institution before the General 
Assembly and the public. This injustice was rendered mani- 
fest by the report of a Joint Select Committee appointed on 
the — day of January on the motion of Mr. J. R. Maxwell, of 
Sampson, and consisting of Messrs. J. R. Maxwell, S. W. 
Reid, Kerr Craige, J. W. Bowman and I’. M. Godfrey, on the 
part of the House, and Messrs. Jno. W. Norwood, W. W. 
Flemming and J. H. Harris, on the part of the Senate. 

This Committee had frequent meetings at the Asylum and 
elsewhere, and made a most thorough examination of the books 
and vouchers. After an investigation of several weeks, on the 
Lith day : February, five days before the adjournment of the 
Legislature, they made the annexed report, submitted here- 
with, and marked “B.” This report contains a tabulated 
statement giving in detail, the quantities and prices of the 
several articles in consumption, and we find among other 
items, Butter cost the average price of 33} cts., instead of 414 ; 
Beef 64 only, instead of 8 1-16; Coffee about 26 or hardly 
that, instead of 27; Egos 224 cts., instead of 25; Sugar 12 
1-2, instead of 134, and Syrup 49 1-24, instead of the enor- 
mous overstatement of 97 cts., according to the first report. 


& 


The evil had, however, been inflicted, the appropriation for 
the current year (1874) having been reduced to $65,000 at its 
passage in the Senate, and this was agreed to by the House in 
the very last days of its session. 

After the lapse of nearly three months since the assembling 
of the Legislature and no appropriation having passed up to 
that date, and several suggestions in the last report having 
been made, involving changes of importance, if carried out, I 
deemed it my duty to notify the President of the Board, which 
I did, aceording to the usual form. 

We are embarrassed. To what extent the delay in the 
action of the Legislature has contributed to that embarrass- 
ment, you are in possession of sufficient facts to judge. Our 
indebtedness at the close of the year, amounting to five or six 
thousand dollars, has been unnecessarily increased by the credit 
system forced upon us. After paying these debts, we shall 
have less than $60,000 for the year, making practically the 
smallest annual provision ever made for this institution. 

In connection with the question of expenses, as explanatory 
of various items found in the report, and in view of compari- 
sons made between the cost of the support of the insane and 
sane classes, without due consideration of the differences that 
mark the two, I beg to repeat some extracts from a former re- 
port, containing portions of a memorial addressed by the 
Trustees of the Worcester Lunatic Asylum to the Massachu- 
setts Legislature, embodying facts and views upon this subject, 
of universal application : 


“ The management of the insane is necessarily different from 
and more expensive than that of the sane. The architectural 
arrangement of the lunatic asylum is very unlike that of a 
common dwelling or any other public institution. The man- 
agers and guardians, the officers and attendants, must be men 
of great discretion, sagacity and patience, who would earn 
large wages elsewhere, and can only be obtained and retained 
by larger rewards than are paid to those who attend on and 
do the work of healthy men and women abroad. 


9 


There is a similar difference in the cost of the food of the 
mentally healthy and disordered. In all the most common 
forms of insanity, mania, melancholia, and dementia, the pa- 
tients need a more digestible and nutritious diet than men and 
women in health. Their malady, their excitements and their 
depressions increase the necessity that they should have food 
that is easily dissolved in the stomach and converted into living 
flesh by the nutrient arteries. They need nourishment not 
only of a better quality, but oftentimes more abundant in quan- 
tity, to meet the excessive and morbid expenditure of force by 
the maniac, in his excitements, and to save the melancholic 
and those who are tending to dementia, from sinking under 
their depressions into torpidity ; and, if possible, to raise the 
demented out of their sluggishness. Regarding the necessities 
of lunatics, familiar with their dangers, and desiring to fulfill 
the purposes of a hospital by restoring as many as possible to 
health, and saving as many as possible from sinking into men- 
tal death, the managers of these institutions, everywhere, feed 
their patients better and at a greater cost than sane men and 
women are fed abroad. | 

In England, under the supervervision of the county and 
borough magistrates, and the guardians of the poor, who ad- 
minister the funds entrusted to them with the greatest econo- 
my, the average cost of snpporting the insane paupers, for 
food, clothing, attendance and management in the public asy- 
Jums, is more than three times as great as that of supporting 
the sane paupers in the workhouses. In Ireland, the cost of 
sustaining the insane poor in the asylums was almost three and 
a half times as great as that of the sane paupers in the work- 
houses. 

Universally, as far as the records have been printed and 
obtained, the managers of the insane have obeyed this patho- 
logical law and yielded to the necessity of giving their patients 
a better and, of course, a more costly sustenance and care than 
are needed for sane men and women, in order to restore them 
to health, or to save them from sinking into dementia and per- 
manent disease or early death. Regarding the earnest sug- 


4 


EO 


gestions of some members of the Legislature in 1863, the 
Trustees requested the Superintendent to try the experiment 
of a poorer and cheaper diet for the State paupers, and to 
give them a sustenance something like that allowed to the 
State almshouses. The experiment was tried faithfully for 
several months, and the daily condition of the patients care- 
fully watched. But the result, as a matter of economy, was 
unfavorable. Note 

The patients were more irritable and discontented, the 
excitable were less easily controlled, the languid drooped more, 
the torpid were more indisposed to action, the wards of the 
maniacal patients were more noisy, and those of the demented 
made less show of life, and all the insane propensities and pro- 
clivities seemed to gather new force and to be less manageable 
in the hands of the officers and attendants; the curable made 
less progress, and the incurable were more intensely dis- 
ordered. 

Whatever might have been gained in the diminished cost 
of food was manifestly more than lost in the slower progress 
of recovery, in the prolonged duration of the mental disorder | 
and in the probable failure of some to regain their health who 
might have been restored, if allowed to enjoy that better diet 
which the necessities of their morbid condition required. The 
experiment was given up asa failure. The usual generous 
diet was again given to these patients and they soon began to 
show its effects in their improved condition and better pro- 
gress.” 

To the above statement I added, that besides the increased 
cost of food there must be considered the salaries of officers 
and wages of a large number of trained attendants and em- 
ployees, the cost of medicines and the necessary means and 
labor to keep up repairs and prevent the decline of an insti- 
tution of extensive and varied organization, also the constant 
supply of clothing and furniture so unavoidably subjected to 
damage by a class of persons having so little self-control, and 
the fuel necessary for the high state of temperature that has 
to be constantly maintained in the wards, on account of the 


Lt 


low vital energy and sluggish circulation of the insane, to- 
gether with the wear and tear of machinery for heating, ven- 
tilating, washing, cooking, and lighting, and the means of di- 
version, occupation and amusement, so important as remedial | 
agents in the treatment of mental disease. 

Yon are aware of the immense importance of moral in- 
fluence upon the progress of recovery in mental diseases. The 
value of the use of airing courts for the less tractable class of 
patients, and of pleasing and diversified grounds for the very 
large number to whom the freedom of open air exercise may 
be profitably given, can scarcely be estimated, in summing up 
the forces for good which Providence has placed in our hands, 
to aid in the rescue of our unfortunate fellow-creatures from 
their sad condition. Everything that tends to dispel the illu- 
sion of prison walls, and to add to the cheerfulness and com- 
fort of his surroundings, inviting the patient to the powerful 
sanitary influences of light and air, of exercise and pleasurable 
enjoyment, should be at the commend of the physician of 
whom the State expects an effort for the cure of her afflicted 
wards. 

It was the design of the founders of this beneficent charity, 
that its greatest work should be the restoration to the family 
fireside and to the roll of active citizenship, of those whom this 
disease had made burdens to their friends and the community, 
and the daily sufferers of unimagined anguish. It will be ex- 
ceedingly melancholy, if after the expenditure of sufficient 
means barely to sustain the inmates with comfort, that the 
small additional sum should be denied, which, judiciously and 
carefully expended, would add the remedial influences to which 
I have adverted, and so fulfill the design of this great charity, 
rather than to allow it to lapse by degrees into a merely cus- 
todial institution, with but a shade separating it from a poor- 
house of the better class, and with a practical abandonment of 
those who shall hereafter be the victims of insanity, through- 
out our broad State, to a course of treatment which shall lack 
many of the most powerful curative forces in the physician’s 
control. It will be a source of deep regret if, through the 


a 


hasty and perhaps not considerate action of the General “As- 
sembly, the Board shall be placed in the attitude before the 
people of North Carolina, whose afflicted ones are here, of per- 
mitting the Institution to retrograde, to desist from the efforts 
to maintain its heretofore high and honorable standard, and so 
by annually giving way to the call for false economy, which 
history shows always repeats itself, finally result in the pos- 
sible utter degeneracy and ruin of the Asylum and all the 
fond hopes that have been based upon its success. 

In the name of the hundreds who now rejoice in the recoy- 
ery of reason, amid their merry homes all over the State, and 
in the name of the many now within these walls, and hereafter 
to be stricken down among us, by so terrible a calamity, I in- 
vite your serious attention to these important points. Ata 
meeting of the Board on the 8th day of May, 1871, on motion 
of Hon. A. 8. Merrimon, it was 


fresolved, That the Board are gratified at the improved con- 
dition of the grounds of the Asylum. | 

fresolved, That it is the sense of the Board that the grounds 
in front of the main building be improved steadily and rapidly 
as the means in hand will allow, according to the survey and 
plans now on file in the office of the Superintendent. 


Under this authority a careful system of improvements in 
the front grounds has been prosecuted, that we might avail 
ourselves of the valued moral influences heretofore referred to, 
and in high esteem at the most successful institutions of this 
and other countries. The expenses, however, thus far have 
fallen far short of the plans and specifications endorsed by the 
Board. 

It has been suggested that the enormous statements inviting 
the supposition of extravagance, have in a measure prevented 
by their influence suitable action by the General Assembly, 
to relieve us of our indebtedness. ‘These statements you find — 
fully refuted by the report of the second Committee, rendered, 
unfortunately, too late to admit of matured legislation in our 


18 


behalf. It is hoped and believed that another Legislature will 
give to us the full measure of justice and liberality. 

It is proper to add, in reference to the labors of the second, 
or Select Committee, that they examined the monthly price 
lists of prominent merchants in the city, in connection with. 
the monthly purchases, and, in many cases, the prices paid 
were several per cent under market rates. The ecoromy in 
cost has been increased during the management of the present 
Steward. 

Complaint having been made that the use of graded flour 
for the patients was attended with too much expense, the tes- 
timony of the bakers of the city was asked and given to the 
Committee, to the effect that there was an actual gain by giv- 
ing it the preference over the ungraded article, without taking 
into consideration the important element of its greater health- 
fulness for the sick and convalescing. 

I desire to express our acknowledgment for the kindness of 
Mr. 8. D. Harrison, who, upon hearing that we had not an 
article of light diet for the sick, except bacon and eggs, and 
no means to purchase the same, generously purchased various 
articles with his own funds and supplied us without a cent of 
profit, and also paid our freight bills for what came by rail. 

I beg your attention to the table herewith annexed of the 
expenses per capita of the patients in numerous institutions 
of the United States, and to the letters I append in reference 
to the management of the Institution. 

The first to which I invite your consideration is the follow- 
ing communication from the able and industrious Senator, W. 
W. Flemming, Chairman of the Joint Select Committee on 
the Expenses of the Asylum: 


SENATE CHAMBER, 
| Raleigh, N. C., Feb. 14, 1874. 
Euerne Grissom, M. D., 
Superintendent of the Insane Asylum : 


Dear Sir—Yours of 13th inst. received. In reply: the 


14 


Committee referred to did compare the current expenses of the 
North Carolina Insane Asylum with eighteen other similar 
public institutions in the United States, and the Committee 
found that the average cost of patients per annum per capita 
was $286.04, while in the North Carolina institution it was 
$265.89. The Committee did not ingraft the above into their 
report, as it was investigated more for the purpose of enabling 
them to come to a correct conclusion, and a full exhibit of © 
their labors would have encumbered their report. 
Respectfully yours, &c., 
(Signed) W. W. FLEMMING, 
P. S.—As to the matter of flour, the Committee spent much 
time, and after mature deliberation declined to recommend 
the use of ungraded flour, there being a difference of opinion 
as to the ecomomy, especially taking into consideration the 
class of patients. W. W. EF. 


The statement of expenses of other Institutions will be 
found annexed to this report, marked ‘‘C.” It should be ob- | 
served that while the average of the whole, is twenty dollars 
greater per patient than the cost in the North Carolina Insane 
Asylum, the comparison would be still more favorable to this 
Institution if the cost of clothing were considered. While 
North Carolina clothes as well as feeds the patients cared for 
in her Asylum, a very large class of patients in most of the 
other Asylums referred to in the tabular statement have their 
supplies of clothing furnished without expense to the State, 
and it is not embodied in the report of expenditures. 

I respectfully invite attention to the following letter of the 
distinguished Senator John W. Ellis, of Columbus, for several 
years a member of the Joint Staudine Committee on the Asy- 
lum, and the Chairman of the Committee which made the first 
report. It will be seen from Mr. Ellis’ letter that he views 
with sincere regret any mistakes or errors committed by any 
members of his Committee. It is unnecessary to comment 
upon the well-known reputation of Mr. Ellis for fairness and 


ability : 


LS 


SENATE CHAMBER, 
Raleigh, N. C., Feb. 11, 1874. 
Dr. Evernt Grissom, ni 
Superintendent Insane Asylum: 


Dear Sir—Your note of the 10th inst. is just received. I 
have no hesitation in giving you my opinion as to the man- 
agement of your Institution during the time I have taken 
notice thereof. I repeat what I have often stated on the floor 
of the Senate, that the Institution under your care had been 
managed with marked ability, that its present position as a 
curative Hospital reflects credit upon the State, and upon you 
as its chief manager. 

Iam satisfied that any complaints which may have arisen 
are without foundation, and have found utterance without a 
thorough knowledge of affairs on the part of those who are 
disposed to complain. It is, or ought to be known, that to 
cure or to do insane patients any good, they must receive far 
better treatment and attention than people in ordinary health, 
An examination of the books of every officer connected with 
the Asylum will show how and for what every dollar of money 
is expended, and a further examination will trace every article 
to its consumption. 

A few hours devoted to the study of the workings and man- 
agement of the Asylum would remove from all fair-minded 
men any disposition to complain, especially at anything which 
you can control. The Board of Directors draw the appropria- 
tion from the State Treasurer and the Treasurer of the Asy- 
lum pays out the money for purchases made by the Steward, 
who holds his office by appointment from the Directors. I am 
informed, that under instruction from the Directors, the Stew- 
ard has made his purchases chiefly in the State, and that for 
the want of suitable store-room, to keep supplies in bulk, heis 
under the necessity of making his purchases in small quanti. 
ties, thus being compelled to go into the market in a retail 
way. 

A careful study of this subject will show that it is necessary 


16 


to use the best kinds of food for these patients, and that there 
is not that extravagance sometimes complained of, or whatever 
may seem extravagant, for the causes herein stated, is unavoid- 
able. The Officers and Directors have shown a readiness and 
willingness to exhibit everything to our Committee, and rather 
courted, than shunned, investigation. [am satisfied that the 
Institution has been well managed, that it ought to be sus- 
tained and its capacity largely increased by liberal legislation, 
and that the people of the State will promptly and cheerfully 
pay a tax for these purposes. 
I am, sir, yours very respectfully, 


J. W. ELLIS. 


Below well be found the following letter from Senator C 
Tate Murphy, of Sampson, President of the Board of Public 
Charities, endeared to the people of the State by his zealous 
labors in the cause of suffering humanity : 


SENATE CHAMBER, 
Raleigh, N. C., Feb. 16th, 1874. 


Dr. Evanne Grissom, 
Superintendent Insane Asylum: 


My Dzar Sir—Yonr note of this instant just now received. 
I have only time to respond briefly. 

As President of the Board of Public Charities, I have sev- 
eral times each year within the last two, visited the Asylum,. 
and in accordance with the law prescribing my official duties, 
have carefully examined and inspected its keeping and man- 
agement both withen and wethout, and it affords me pleasure 
to say that in all of its departments and appointments it has 
been faithfully and successfully managed, and in point of 
economical administration will compare favorably with a 
majority of the Institutions of thesame class and standard on 
this continent. 

I have the honor to be 
Very respectfully, yours, 
C.. T. MURPHY, 
President Board of Public Charities, 


17 


Hoping that wise counsels may prevail, and that the best in- 
terest of the public and of the unfortunate insane may be sub- 
- served, 3 
I have the honor to be, 

Respectfully yours, — . 
EUGENE GRISSOM, M. D., 
Superintendent. 


APPENDIX. 


See 


[A.] 


REPORT OF JOINT STANDING COMMITTEE ON 
THE INSANE ASYLUM. 


The Joint Standing Committee on the Insane Asylum beg 
leave to report, that through the industry and careful examin- 
ation of the expenditures of that institution made by Senator 
Ransom and Representative Turner, your Committee are en- 
abled to submit that they have carefully examined the books 
of the Treasurer of said Asylum in order to ascertain the 
quantities of provisions and other necessaries purchased, and 
the amount paid therefor, beginning with November Ist, 1872, 
and ending with November ist, 1878, and find the following 
as the result of such investigation : 

26,630 pounds of Bacon, cost 12 1-2 cents per lb., $3,209.44 


5 p41 43 Butter,“ 4112°° “ «9,308.28 
16,020 “ Beate te? S126 eo OL DOLOS 
7,384 ‘i Coffee, “ 27 C6 (OEE OE Te 
M1701 to Sugar, “ 13 1-4 6 OO BBB. 
963 bushels | (Corn,) $4.50 per 

22,0384 Ibs. (Meal,) barrel, 1,303.70 
4,511 dozen Eggs, cost 95 cents per dozen, 1,137.05 


321 barrels of Flour, “ $10.63 “  ™ barrel, 3,418.34 
6,348 pounds Be Lande Die mee pound, 592.50 
555 gallons of Syrie oi ee, gallon, 538.01 
8,861 pounds of (Porky Lise “ pound, 959,39 


Wood and Coal, 2,597.79 
Poultry, 1,207.31 
Provisions, 1,161.82 


Potatoes, 179.23 


19 


Repairs, 939.75 
Vegetables, | 6.00 
Hardware, 1,316.81 
Medicines, 2,203.82 
Groceries, 2,050.99 
Freight and hauling, 751.93 
Farm expenses, 726.82 
Fruit, | 220.37 
Clothing and Dry Goods, _ 4337.16 
Crockery, : 66.60 
Building, 931.85 
Furniture, 284.65 
Forage, 1,481.10 
Sundries, 7,957.30 
Mutton, 40,47 
| $46,693.42 
Salaries and Wages, 20,714.85 
Total, $67,408.27 


Your Committee would state that the above amounts were 
obtained by examining the books month by month, for the 
time above indicated and under the different headings as they 
stand above. The amounts in dollars and cents are exact and 
the average cost is as nearly exact as can be expressed in avoid- 
ing unusual fractions. Number of pounds were obtained 
where it could be done from the books, 


All of which is respectfully submitted, 
: J. W. ELLIS, Ch’n. 


20 
[ B.] 


REPORT OF JOINT SELECT COMMITTEE TO IN- 
VESTIGATE THE EXPENSES OF THE INSANE 
ASYLUM. 


The Joint Select Committee appointed to examine into and 
investigate the expenses of the Insane Asylum, in consequence 
of their onerous and varied duties have found it impossible to 
make this report at an earlier day. Under the resolution the 
field of your committee’s investigation might have been almost 
unlimited, but the close of the session being near at hand, 
your committee have confined themselves principally to facts 
and figures, and after five days of almost incessant labor, beg 
leave to submit the following report for your consideration. 
The head marked “ A” embraces the number of officers with 
the salary of each, also the number and wages of the em. 
ployees. Your committee feel it their duty to call special at- 
tention to the salary of the engineer, (to-wit :) Seventeen hun- 
dred and fifty dollars, ($1,750,) complaint having been made 
that it was unnecessarily large. There can be no doubt, nor 
do your committee believe there will be a question, as to the 
propriety of securing the services of a skilled machinist, as 
not only the safety of the building, but the health, and even 
lives of the inmates are to a measure in his hands, and when 
the large amount of water, heating, and gas fixtures are con- . 
sidered, and the fact that he derives no other compensation, 
your committee believe it is a matter of economy. The num- 
ber of employees appear large, but your committee are un- | 
willing to do more than suggest to the Board of Directors 
such reductions as they may deem practicable, and also to 
mention that they are informed by the Superintendent that 
twice the number of patients would require but little additional 
expense in the way of employees. 

The tabular statement marked “B” was taken from the 
treasurer’s books, and in many cases the vouchers were re- 
jerred to ; and your committee have taken great care to make 


21 


them accurate, and have set them out at length for the inspec- 
tion of your body. More care has been taken to set forth an 
itemized statement of sundries and forage, as they were iuca- 
pable of being reported satisfactorily in a more condensed 
form. 

It would make this report too voluminous to set forth the 
full scope of your committee’s labors, but after much conside- 
ration and a reference to prices quoted at the time of purchases, 
your committee are of the opinion that while the prices paid 
were not extravagant, more economy might be used. Some re- 
duction of expenses might be made, probably fifteen hundred 
dollars, by reducing the number of horses, abolishing the farm, 
and by conducting the conservatory and the improvement of 
the grounds in a less expensive manner: Your committee, 
however, think these matters more peculiarly within the prov- 
ince of the directors, as they have, by resolution, directed 
the improvements. 

All of which is respectfully submitted. 

W. W. FLEMMING, 
for Senate Branch of Committee. 
J.B. MAXWELL, 


Chm’n of House Branch of Committee. 


“r 


22 
(TABLE At} 
‘OFFICERS. 


1 Superintendent, salary per annum, 


1 Assistant Superintendent, salary per annum, 


1 Steward, salary per annum, 

1 Matron, salary per annum, 

1 Engineer, salary per annum, 

1 Treasurer, salary per annum, 

4 Ministers, each $50 per annum, 


EMPLOYEES. 


1 Druggist, salary per month, 

1 Chief Male Attendant, salary per month, 

1 Chief Female Attendant, salary per month, 
1 Male Attendant, salary per month, 

1 Male Attendant, salary per month, 

5 Male Attendants, each $18 per month, 

3 Female Attendants, each $15 per month, 

2 Female Attendants, each $12 per month, 

2 Female Attendants, each $13 per month, 

1 Male Night Attendant, salary per month, 
1 Female Night Attendant, salary per month, 
2 Male Ward Servants, each $13 per month, 
1 Male Ward Servant, salary per month, 

3 Male Ward Servants, each $10 per month, 
1 Female Ward Servant, salary per month, 

2 Female Ward Servants each $9 per month, 
4 Female Ward Servants, each $8 per month, 
1 Assistant Engineer, salary per month, 

1 Fireman, salary per month, 

1 Housekeeper, salary per month, 

1 Head Cook, salary per month, 


28 


2 Male Cooks, each $10 per month, 

3 Female Cooks, each $7 per month, 

1 Baker, salary per month, __ 

1 House Servant, salary per month, 

1 House Servant, salary per month, 

1 House Servant, salary per month, 

2 House Servants, each $7 per month, 
1 Door Boy, salary per month, 

1 Gardener, salary per month, 

1 Assistant Gardener, salary per.month, 
1 Garden Hand, salary per month, 

1 66 «ce 6¢ 66 66 
Farmer, salary per month, 

1 Farm Hand, salary per month, 

2 Farm Hands, each $10 per month, 
1 Driver and Hand, salary per month, 
1 Hostler, salary per month, 

1 Farm Boy, salary per month, 

1 Washerman, salary per month, 

3 Laundry Hands, $7 each per month, 
1 Carpenter, salary per month, 

1 Watchman, salary per month, 


Total, 


Total per annum, 


11,736 00 


B. 
BACON. BUTTER? 

wm wo 
= i : 
; 5 Sp FE Sp 
187273.) 3 Price. 3s 2. |, Price ce 
o ; o 
} b S > 
Zi <q Zi <q 

” Cents 
Nov’ber, 521'/$104 20 |20 864/$ 13 93 |38 1-50 


Dece’ber, | 2,7183| 420 52 [15 28-50|| 9144 74 30 [34 1-3 
January, | 9,728] 786 05 | 8 1-14 || 8444] 248 70 [29 23-50 
February, | 1,8924| 267 43 119 1-5 ||501 | 154 30 |35 9-30 
March, | 1,6524| 229 03 113 1-4 |14874| 134 86 |28 2-3 


April, 647; 67 97 |10 1-2 || 612%; 185 03 |380 1-4 
May, 2,075} 360 634/17 3-8 || 8932) 410 97 |45 4-5 
June, 1,160) 202 824/17 1-3 || 894 | 325 924/36 9-20 
July, 2,6044| 427 92 |16 2-5 1/458 | 186 90 |30 

August, 272) 36 72 |13 1-2 || 3474) 109 15 |381 1-2 


Sept’ber, | 2,3744] 357 08 [10 2-5 || 6954| 218 45 [31 1-2 
October, | 9514} 133 54 |14 1-2 || 680 | 199 934|29 1-3 


LPS |S AS TS | ws neces meme | | tees ee eS | ES |S 


Total, | 26,598/$3,393 91/12 3-4 ||6,659|$2,91145|33 1-4 


26 


B.—(ContinveEp.) 


BUILDINGS. 


Price. 


937 30 


BEEF. 
a 
= 33 
1872~73. st Price. a 
November, 3,951 |$ 237 24) 6 
December, 756 AG 5B CT 
January, 4.00 28 85) 7 1-5 
February, 7894 63 10| 8 
March, 204 8 08] 15 
April, 
May, 1,3014 104 20) 8 
June, 745 51 74, 6 9-10 
July, 1,083 95 04) 8 4-5 
August, 2,609 161 64; 6 1-6 
September, 2,003 130 10} 6 1-2 
October, 2,7434 170 52) 6 1-4 
Total, 16,403 | 1,092 03] 6 1-2 


| 


26 


B.—(ContTinvEn.) 


CROCKERY. COFFEE. 


x 
: Sp 
1872-73. me Price. e 
) > 
Z < 
November, 
December, 9384/$ 198 68 |21 1-6 
January, 588 140 28 |23 6-7 
February, 
March, 9754] 932 28 |23 4-5 
April, 171 43 35 115 1-3 
ay, 1,308 327 50 |25 1-10 
June, 239 72 894/30 41-100 
July, 1,8434} 509 60 |28 
August, 
September, 975 219 82 |27 1-2 
October, 5274, 175 38 383 1-4 
Total, 7,386 | 1,919 784125 149-150 


Clothing, $ 4,337 16 


1872~'73. 


27 


B.—ContTInvueED. 


CORN AND MEAL. 


Price. 

154 |$ 161 41 
160 141.17 
674. 492 53 
25 31.26 
25 24 78 
1593; 189 144 
374 Bote 
49 52 50 
79 78 86 
83 88 39 
95 103 71 


| eer nf ff trey | cree 


1,541 |$1,347 204'87 2-5/15,189—3 'g1,184 72 !904 


| Average. 


mn 


EGGS. 


1872, 
November, 
December, 

ce 


1873. 
January, 
66 
February, 
ce 
ce 
“March, 
66 


April, 

May, 

June, 

July, 

August, 
66 


September, 
<9 


October, 
6¢ 


28 


B.—(ContInveED.) 


FORAGE. 


S. V. Kensom, 1,800 lbs. of Hay, 
Joseph Wilson, 2,900 lbs. of Hay, 


Jesse Day, 1,150 lbs ot Oats, 
6e 79 


A 2 BG er 
Wm. Gulley, 1,400 “ Straw, 
Joseph Wilson, 8 loads % 
John Burns, 18 loads 28 
Wm. Gulley, 2,200 lbs. i 
G. H. Franklin, 3 loads a 
W. R. Jones, 8 loads 


C. W. Johnson, 764 lbs. of Fodder, 
E. Stephenson, 500 lbs. of Straw, 
W. Edmunds, 2,200 lbs. of Fodder, 
Wesley Pope, 8 loads of Straw, 
W. Edmunds, 7,029 lbs. of Hay, 


6 1,476 30 


nae a 


29 
B.—(Continvep.) 


errs 


SUGARS. SYRUPS, 


© je) 
1872~73. | No. lbs.| Price. sf Galls,| Price af 
> b 
sell Pag nla ls 
November, : 
December,| 1,042 | 1380 34 289) 127 16) 44 
January, 1,0733| 120 61 90; 24 30) 27 
February, 1,172 | 184 78 
March, 2,334 | 296 18 
April, 275 35 75 
May, 1,670 | 200 40 88] 66 00) 75 
June, 407) 197 40) 484 
July, 3,547 | 430 76 88] 66 00) 75 
August, 267 36 04 135} 57 15) 42% 
September,) 1,247 | 141 25 
October, 286 32 16 
12,8954'$1558 27! 124 1097/$ 5388 01'49 1-24 
Vegetables, é $6 00 
Wood and Coal, $2,597 79 


Repairs, : $939 75 


“SUOISIAOI J 


¢ 
#6 (sF9‘9 


‘sy YSIOL iy pue en 
‘QIVMPIC FT 
*S91.1900.1) 
‘onqlain J 


‘GES SP24 “OS'F86$ Poay r05 eeeoH 


30 


| 


‘OSBIOA YT 


Z 
* 
ss 
} 
= 
B 
oy 
e 


(‘da ONILNOY)—g 


$69 OT \16 9SFe 8/8968 


ee ee 


109 16% 
leg F9¢ 


G8 86g 
OS G8E 
GL F0¢ 
00 Lg¢ 


*19q010Q) 
‘raqmojydeg 
‘“snony 
‘Aye 
‘ouur 

‘AR 
‘Tudyz 


‘qo1eyy 
‘ATON.I1q9 iT 


‘AIVNUB PP 
‘19q W909 


*19Q UI9AO Ny 


a 


B.—(ContinvED.) 


Mepicines. Pork. 
a= 
= 
1872-73. Price. = Price. 3 
3 a 
i 8 
© > 
Zi <q 
November, i$ 202 93 3311$ 30 69 
December, 277 32 2,919 282 17 
January, 457 90 1,024 93 10 
February, — 84 50 
March, 86 90 
April, 187 30 
May, | 31 20 111 13 87 
June, 250 00 | 
July, 365 321 1,435 186 20 
August, : 600 69 00 
September, | 236 55 2,476 284 36 
October, | 143 40 


® 2,823 32 8,894'$ 959 39' 102 


bg 


B.—(Continvep.) 


~ SUNDRIES. 
DATE. ARTICLES. PRICE. 
1873. 
Nov. Stationery, $ 3 25 
Books, » 2 25 
Postage, 47 30 
Stationery, 3 50 
Sow and Pigs, 22 70 
Directors’ expense Annual Meeting, 75 90 
Papers, (exchange,) 10 17 
Books, 2 50 
Papers, (exchange,) 10 00 
Cow and calf, 55 00 
Books for Library, 3 00 
Dec. Telegrams, 2 85 
Milch cow, 31 00 
Getting ice, 35 00 
Printing Reports, 4,500, 235 55 
$ 539 97 
Jan. Buggy, 285 00 
Exchange papers, 12 00 
Printing, 10 00 
Stationery, 23 05 
Books and Stationery, 7% 
Getting ice, 29 50 
Papers and Postage, 1 10 
Telegrams, 65 
Postage, 81 88 
Feb. |1 dozen Buckets, 2 50 
Amusements and Violin strings, 3 00 
2 Buckets, 2 00 
Printing Blanks, 3 50 
Evergreens and work, 164 60 
Plants, Shrubbery, &c., 300 00 
1 Steam Pump, 161 25 
Traveling expenses, % 55 


Printing, 41 50 


April. 


Oo 


B.—(Continvep.) 


ARTICLES. 


Costs in suit, 

Papers and postage, 

Telegrams, 

Books, 

Consultation fee, 

1 Book, 

Books, 

Directors’ Expenses, 
66 66 


6 66 
66 snes 


1 pair Shoats, (Birkshires,) 
Flower Pots and Flowers, 
Magazines of Popular Series, 
Small Marketing, 
Work, 
Professional services, (legal,) 
Shrubbery and work on Front Yard, 
Bill of Lumber, 
Certified Copy of Chapter 67, &c., 
Box and Drayage, 
Directors’ Expenses, 
Freight on Body of a Patient, 
Freight on 60 Barrels of Plaster, 
Freight on 60 Barrels of Ashes, 
40 Herrings aud 2 pair of Shad, 
1 Bag of Feathers, 
9 Bottles Whiskey, 6 Bottles Brandy, 
3 Carriages and Horses, 5 Hours tor 

Board of Directors, 
2,312 Pounds of Ship Stuff, 
Ministerial Services, 
1 Book for Library, 
Stationery, 
Confections, 
Stamped Envelopes, 
Ministerial Services, 
Ministerial Services, 

3 


o 4 
B.—(ContTInveEb.) 


tg 


DATE ARTICLES. PRICE. 
1873. 

April. Oysters, 3. tp 
Flowers, Shrubbery and Work, O75 85 
Cash Box and Lock, (for Treasurer,) 4 25 
Making Box, 4 00 
Harness and Goods, &c., Oy ie 
1 Blanket and Hood, 8 25 
Directors’ Expenses, 17 00 
Lumber, 8 25 
Stationery, 10 10 
May. 1 dozen Brooms, 3 75 
1 dozen Bottles Brandy, 12 00 
Chickens, Eggs and Butter, 48 60 
Sundries, (See Voucher 132,) 51 85 
Boot and Shoe work, 9 00 
1 Book, ‘‘ New Seydenham Society,” 8 00 
Peas and Rye, (82 and 44 Bu.) TL 07 
Concentrated Lye and Cement, 56 50 
Sundries, (Voucher 161,) 43 11 
Stationery and Cash for Telegram, 34 35 

Plants, Shrubbery, and work on front 
grounds, 100 00 
1 Nichol Fire Extinguisher, 60 00 
Castings, work, &e., 268 54 
50 lbs. Lint Cotton, 8 75 
1 fine Milch Cow, 50 00 
June. |Sundries, (Voucher 196,) 75 90 
1 Box Chewing Tobacco, 26 10 
8 Tons Coal, 100 00 
108 lbs. Cotton, 8 lbs. Tobacco, &c., 25 60 
Exchanges, Newspapers, 24 00 
Lumber, 3 65 32 
2917 |Baking Powders, Soap and Hops, 52 30 
Confectioneries, 4 85 
Lightning-rod fixing, 17 00 
Sundries, (Voucher 221,) 62 10 
Seeds, 40 
Bill of Harness, 27 05 
Printing Blanks, &c., 44. 50 


OO 


B.—(Continveb.) 


S11 
O21 


371 


August, 


471 
462 
463 


ARTICLES. 


Expenses to Baltimore of Asst. Phys. 

Blacksmithing, 

Concentrated Lye, 

Bill of Slating, &e., - 

Sundries, (Voucher 257,) 

Sow and eight pigs, 

305 yards of Ditching, 

60 Bbls. Rosin, 

Confectioneries, Dried Fruits, Olive) 
Oil, Pickles, &c., 

Legal fee to Mr. Phillips, 

Fire wood, 

2 Bed Spreads, 

1 fine Cow, 

Confectionery, 

4 Palmetto Mops, 

1,654 lbs. Bran, 

Blacksmithing, 

Directors’ expenses, 

8 Palmetto Brooms, 

1 American Sewing Machine, 

38 gallons Vinegar, 

6 Palmetto Brooms, 

Use of Sewerage until January, 1874, 

1 Box, 52 pounds, 

Pass-books, Penholders, paper, &c., 

Achler, Adams & Alcott’s Gazette, 

Printing Blanks, &c., 


PRICE. 


51 Mattresses and 36 Pillows, 

Bill of Harness, 

Trees, Roses and work on Front 
Grounds, 

Painting and Varnishing Furniture, 

1,542 pounds of Bran, 

Intelligence Office, Procuring Labor, 

Sundries, 


Settlem’t of Mr. Huggins, 
Vouchers, 


Sundries, 
Sundries, 


\ 


36 


B.—(Continvep.) 


DATE, ARTICLES. PRICE. 
1873. 
August. 

me Confections, Violin Strings, &c., : 10 038 

Blacksmithing, (2 bills,) 23 30 
Merchandize, (Keys and Locks for the 

Wards,) ee ee 

2 Milch Cows, 125 00 

Express Charges, 24 00 

Stationery, 19 05 

482 |Photographing building for Vienna, 25 00 

483  |Sundries, settlement of Mr. Huggins, 

Vouchers, 23 55 

Telegrams, 8 00 

Postage, 55 40 

486  |10 Stripes, 42$ pounds, Bacon Stripes, 6 58 

1 Refrigerator, (Ice,) 10 00 

1 Box Soap, 9 50 

Mustard, Pepper, Turnip Seed, &c., 11 95 

490 |Baking Powders, &c., 59 50 

Carriages and Horse, (Livery,) 18 00 

Bill of Lumber, 31.98 

184 |Stationery, &c., &c., (Richmond,) 71 23 

1 Pump, 900 00 

Services of Policeman, 5 00 

Coffin for Robt. Hill, THO 
Transportation of Robt. Hill to High 

Point, 5 10 

1 Maryland Feed Cutter, 40 00 

4 Counterpanes, | 14 00 

43 Gallons Vinegar, 21 50 

Burning Coal Kiln, H. Jones, 4 50 

34 Gallons Cider, 1 50 

Subscription of Journal of Insanity, 5 00 

15 Chickens, 2 85 

Vinegar, 31 1-2 gallons, (2 vouchers,) 14 60 

24+ Bushels Peaches, : 2 25 

525 pounds Wheat Bran and 11 sacks, 13 25 


Peaches and Apples, 15. 50 


DATE. 


1873. 


Ce 


B.—(Continvep.) 


August. 


530 
Sept. 


585 


598 
599 
600 


Oct. 


| 


ARTICLES. PRICE. 

Sundries, Dr. Collett, 448 
2 Cows and 2 Calves, 55 
Difference in Sewing Machines, 25 
Procuring Labor,(Intelligence Office,) 10 
20 Posts, D 
12 Baskets, 6 
20 Gallons Vinegar, 10 
10 Bushels Apples, 8 
Seeds, if 
Sundries, Mr. Huggins, 41 
Work on Shoes, 
Mucilage and Ink, 4. 
Baking Powders, 19 
52 lbs. Tobacco 26 
223 lbs. Copperas, 10 
Telegram, 
Tin Safe, 12 
Printing Receipts, 12 
Confections, &c., &e:, &e., | 41 
8 Pair Socks, 1 
Combs, &c., | 7 
Lumber, 17 
Procuring labor, (Intelligence Office,) 5 
Stationery, 7 
Tobacco, 24 
Guano, Lime, &e., 43 
Confections, ‘Oranges, Lemons and| 

Oysters, 6 
65 Pair Socks, 13 
20 Gallons Scuppernong Wine, © 30 
Bulbs, Evergreens and Work, 100 
1 Dozen Mats, (Table,) 22 posts for 

Fencing, 5 


Small Mavectina (to Mrs. Hugegins,) 25 


2D) 
eo 


B.—(ContInveED.) 


ARTICLES. 


Transporting patient to Washington, 


Dis, 
S.C : 
1 Day Clock, 

18 Packs Playing Cards, 
Syringes, &c., 
Baking Powders, 


4 Dozen Packages Gilotine Silk, 


Baking Powders, 
Consultation visit, 
Baking Powders, 
Stationery, (2 items,) 
Amusements for Patients, 
2 Buggy Whips, 

7 T-8 Bushels of Cranberries, 
5 Pounds of Tobacco, 

1 Lot of Violin Strings, 
69 Posts, 

274 Pounds of Feathers, 
4 Barrels of Fish, 

90 Bundles of Fish, 


Total, 


PRICE. 


$ 9.047 65. 


a9 


TABLE OF WEEKLY COST PER CAPITA, 


OF EIGHTEEN INSTITUTIONS, (HX AMINED Bx) COMMITTEE.) 


INSTITUTIONS. WEEKLY 

Cost. 

Pennsylvania Hospital, 8 68 
Government Hospital, Washington City, 7 88 
Northern Ohio, Newberg, Ohio, eur 
Hospital, Nashville, Tennessee, 6 40 
Longview, Hamilton, Ohio, : I 8 98 
Illinois Hospital, Jacksonville, 5 87 
Southern Ohio, Dayton, 5 61 
New York State Asylum, Utica, 5 53 
State Hospital, Middleton, 5 02 
West Virginia Asylum, Weston, 5 42 

- Central Ohio, Columbus, 4 89 
Northampton Asylum, Massachusetts, 4 78 
Dixmont, Pittsburg, Pennsylvania, 457 
Madison, Wisconsin, 4 48 
Pennsylvania State Asylum, Harrisburg, 4 38 
Western Asylum, Staunton, Virginia, 4. 30 

_ Eastern Asylum, Lexington, Kentucky, 4 13 
Central Asylum, Richmond, Virginia, 4 71 


It will be observed by a simple calculation, that the yearly 
average of the above named Asylums is $288.05 per capita. 
It should be stated that in most of these Institutions the ap- 
parent amount of expenditure is too small, as it does not in- 
clude the cost of clothing of a very large class of their inmates, 
known as “pay patients.”” This expense falls upon the State 
of North Carolina for all the patients in her Asylum, and is 
farther increased by the substitution of violent cases for the 
harmless and incurable, producing frequent changes and outfits. 


Photemount 
Pamphlet 
Binder 
Gaylord Bros. 


Makers 
Syracuse, N. Y, 
PAT, JAN 21, 1908 


UNIVERSITY OF N 


Il 


iii 


00043 


FOR USE ONLY IN 
THE NORTH CAROLINA COLLECTION 


UNCPS 55514 


